EP2296726A1 - Vorrichtung zur peritonealdialyse - Google Patents
Vorrichtung zur peritonealdialyseInfo
- Publication number
- EP2296726A1 EP2296726A1 EP09772145A EP09772145A EP2296726A1 EP 2296726 A1 EP2296726 A1 EP 2296726A1 EP 09772145 A EP09772145 A EP 09772145A EP 09772145 A EP09772145 A EP 09772145A EP 2296726 A1 EP2296726 A1 EP 2296726A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- color
- turbidity
- display
- dialysate
- displayed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000000502 dialysis Methods 0.000 title claims abstract description 14
- 238000000034 method Methods 0.000 claims description 5
- 238000001228 spectrum Methods 0.000 claims description 5
- 238000005286 illumination Methods 0.000 claims description 3
- 238000005259 measurement Methods 0.000 claims description 3
- 150000004683 dihydrates Chemical class 0.000 claims 1
- 238000004043 dyeing Methods 0.000 claims 1
- 230000001960 triggered effect Effects 0.000 claims 1
- 238000002845 discoloration Methods 0.000 description 8
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000029142 excretion Effects 0.000 description 2
- 238000011835 investigation Methods 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 206010034674 peritonitis Diseases 0.000 description 2
- 235000015197 apple juice Nutrition 0.000 description 1
- 230000034303 cell budding Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 239000000385 dialysis solution Substances 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000008921 facial expression Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 230000002969 morbid Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 230000008447 perception Effects 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 238000011179 visual inspection Methods 0.000 description 1
- 230000003442 weekly effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3306—Optical measuring means
- A61M2205/331—Optical measuring means used as turbidity change detectors, e.g. for priming-blood or plasma-hemoglubine-interface detection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
- A61M2205/505—Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
Definitions
- the invention relates to a device for peritoneal dialysis according to the preamble of claim 1.
- a dialysis solution (dialysate) is introduced into the abdominal cavity of a patient.
- dialysate a dialysis solution
- the now "spent" dialysate is exchanged for fresh dialysate, for which purpose the used dialysate is usually drained into a bag
- a turbidity Normally, the dialysate should have the color of apple juice The corresponding discoloration or turbidity in the used dialysate by the doctor, the dialysis person or the patient himself
- an assessment is made as to whether the used dialysate has a normal, normal discoloration.If the discoloration is classified as abnormal, further investigations are usually initiated to investigate the cause n, which are not found in the usual Waiting normal range lie, can point to different morbid causes, such as an increased protein
- the problem with the visual inspection is the subjective perception of the observer, especially the non-experienced patient.
- subjective and changing assessment criteria it can not always be recognized with consistent certainty whether it is a relatively normal or even abnormal discoloration of the dialysate in the outlet from the abdominal cavity.
- the object of the invention is now to develop a generic device for peritoneal dialysis such that the objectivity in the assessment of the discoloration or turbidity of the dialysate is improved and a machine support in the evaluation of turbidity is given to the hand.
- a peritoneal dialysis apparatus having a dialysate (cycler) delivery and retrieval device which includes a conduit with a catheter.
- This device according to the invention now has a means by which the color or turbidity of the dialysate can be determined.
- the operator that is to say the doctor, the person responsible for dialysis or even the patient himself, can determine or determine the turbidity of the current dialysate to be assessed with objective means.
- the color or turbidity values of the dialysate obtained via the agent can be stored.
- the color and turbidity values can be stored in a memory provided in the device.
- the staining and turbidity values can be stored together with alphanumeric data, for example the patient data, on a removable storage medium, for example a memory chip on the patient card.
- the means for determining color and turbidity may advantageously have a display, preferably in the form of a touchscreen.
- a color spectrum can be displayed on the display, from which the correct color or turbidity can be selected by the operator.
- the color or turbidity in a specially designated window can be displayed and selected.
- an illumination field is provided in the region of the display, via which a drainage line or cuvette, each filled with dialysate, can be illuminated are. Based on the resulting hue value in the dialysate, the operator can select and enter the appropriate value within the resulting hue scale on the display.
- the device may preferably have an alarm field in the area of the display, which emits an alarm at a predetermined deviation of the determined color or turbidity value from a predetermined color or turbidity value.
- This alarm can be output alone as an optical alarm on the display.
- an additional acoustic alarm bell or another alarm signal sounds here.
- an audible alarm signal can be output alone without any indications on the display.
- the issuing of the alert requires that in the present case a doctor should be consulted, through which further examinations can be made.
- the color or turbidity values of past measurements can be displayed on the display in comparison to one another.
- the doctor can already obtain an indication of the complications from the turbidity history and the deposited turbidity values or color values, thus initiating a targeted examination.
- the invention also relates to a corresponding method as claimed in the claims.
- Figures 1 - 5 different embodiments of a display of a device according to the invention.
- FIG. 1 shows a display 10 which can be provided on a device for the regular dispensing and resumption of dialysate within a device for peritoneal dialysis. Based on this display, the color of the abdrain mandat dialysate can be determined after a peritoneal dialysis treatment.
- a window 12 is provided on the display 10, which is designed as a touchscreen, in which a typical color or a typical degree of turbidity is represented, which can correspond to the color of a "used up" dialysate via which can be activated by touch on the touchscreen Arrows 14, the operator, that is, the doctor, the person in charge of dialysis, or the patient himself can change the color value from a corresponding scale stored in a memory associated with the display 10 so as to select the value corresponding to the current color or color When determining a correspondence between the color shown in the window 12 or the turbidity level and the dialysate, the value currently displayed there can be stored by correspondingly touching the window 12.
- the operability described here with reference to a touchscreen can itself - understandably even when providing a simple display 10 without Touchscreenbe- operation by other input options such as a common computer keyboard or a computer mouse done.
- FIG. 2 shows an alternative embodiment in which the display 10 not only indicates a specific color or turbidity value in its output window 16, but also an entire turbidity color spectrum.
- the display is designed as a touchscreen, the value can be selected and stored by appropriately touching the spectrum in the coloration or turbidity range which corresponds to that of the dialysate.
- FIG. 2 A further alternative embodiment of a display, as shown in FIG. 2, but which has a somewhat different operating facial expression, is shown in FIG.
- the value currently determined for the dialysis treatment is entered in a window 18 via arrow keys 14 which are provided in the touchscreen. Due to an internal memory, this value is then stored and indicated on the following day under the corresponding day of the week in the window 16, so that here results in the illustrated embodiment, a weekly history.
- the information for the attending physician about possible changes in the dialysate and thus allows conclusions on possibly existing pathological changes.
- FIG. 4 shows a display 10 which, in the right-hand part, essentially corresponds to the embodiment according to FIG. 1 and has the corresponding functionality.
- an additional illumination field 20 is provided in the display, in front of which a transparent drainage line 22 is arranged in the exemplary embodiment shown here, which allows a transillumination due to its transparency.
- the dialysate passed through this drainage line can be made by the operator in his discoloration directly with the representation of the color selected in the window 12 or with the turbidity level shown there.
- the determination of the current color value or turbidity value of the dialysate is largely objectified.
- FIG. 1 shows a display 10 which, in the right-hand part, essentially corresponds to the embodiment according to FIG. 1 and has the corresponding functionality.
- a variant of a display 10 is shown, which largely corresponds to that according to FIG.
- an additional alarm display panel 24 is integrated, in which an alphanumeric alarm signal can be output when the currently detected Farbt. Turbidity value of the dialysate over a predetermined amount deviates from the predetermined turbidity value.
- This optical alphanumeric alarm display can optionally also be acoustically supported.
Landscapes
- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Urology & Nephrology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102008031660A DE102008031660A1 (de) | 2008-07-04 | 2008-07-04 | Vorrichtung zur Peritonealdialyse |
PCT/EP2009/004720 WO2010000445A1 (de) | 2008-07-04 | 2009-06-30 | Vorrichtung zur peritonealdialyse |
Publications (2)
Publication Number | Publication Date |
---|---|
EP2296726A1 true EP2296726A1 (de) | 2011-03-23 |
EP2296726B1 EP2296726B1 (de) | 2016-01-27 |
Family
ID=41172408
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP09772145.0A Active EP2296726B1 (de) | 2008-07-04 | 2009-06-30 | Vorrichtung zur peritonealdialyse |
Country Status (7)
Country | Link |
---|---|
US (1) | US9381289B2 (de) |
EP (1) | EP2296726B1 (de) |
JP (1) | JP5507554B2 (de) |
CN (1) | CN102099065B (de) |
DE (1) | DE102008031660A1 (de) |
ES (1) | ES2568797T3 (de) |
WO (1) | WO2010000445A1 (de) |
Families Citing this family (26)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6290646B1 (en) | 1999-04-16 | 2001-09-18 | Cardiocom | Apparatus and method for monitoring and communicating wellness parameters of ambulatory patients |
US8419650B2 (en) | 1999-04-16 | 2013-04-16 | Cariocom, LLC | Downloadable datasets for a patient monitoring system |
US20070073590A1 (en) * | 2005-08-22 | 2007-03-29 | Cosentino Louis C | Remote monitor for physiological parameters and durable medical supplies |
DE102010056605A1 (de) * | 2010-12-28 | 2012-06-28 | B. Braun Avitum Ag | Computerbasiertes Dialoggerät zur medizinischen Überwachung des Dialysevorgangs |
DE102011011769A1 (de) | 2011-02-18 | 2012-08-23 | Fresenius Medical Care Deutschland Gmbh | Medizintechnisches Gerät mit Touchscreen und Verfahren |
EP2688602B1 (de) | 2011-03-23 | 2019-11-06 | NxStage Medical, Inc. | Peritonealdialysesysteme, -vorrichtungen und -verfahren |
US9861733B2 (en) | 2012-03-23 | 2018-01-09 | Nxstage Medical Inc. | Peritoneal dialysis systems, devices, and methods |
WO2012155067A1 (en) * | 2011-05-11 | 2012-11-15 | Cardiocom, Llc | Dialysis treatment monitoring system |
JP2014083369A (ja) * | 2012-10-26 | 2014-05-12 | Medica Tekku Kk | 腹膜透析用の検査装置 |
US9395234B2 (en) | 2012-12-05 | 2016-07-19 | Cardiocom, Llc | Stabilizing base for scale |
US11030778B2 (en) * | 2014-03-31 | 2021-06-08 | Healthy.Io Ltd. | Methods and apparatus for enhancing color vision and quantifying color interpretation |
WO2016057982A1 (en) | 2014-10-10 | 2016-04-14 | Nxstage Medical, Inc. | Flow balancing devices, methods, and systems |
CN104316527A (zh) * | 2014-11-07 | 2015-01-28 | 昆山韦睿医疗科技有限公司 | 一种对排出的透析液的自动检测方法、装置 |
TWI525578B (zh) * | 2015-08-05 | 2016-03-11 | 國立清華大學 | 用於腹膜透析中腹膜併發症評估的影像分析方法及裝置 |
TWI559254B (zh) * | 2015-11-13 | 2016-11-21 | 國立清華大學 | 用於腹膜透析之遠端照護系統及其方法 |
DE102016008332A1 (de) * | 2016-07-07 | 2018-01-11 | Fresenius Medical Care Deutschland Gmbh | Verfahren zur Erfassung von Symptomen einer Peritonitis |
EP3484536B1 (de) | 2016-07-18 | 2022-04-27 | NxStage Medical Inc. | Flussausgleichsvorrichtungen, verfahren und systeme dafür |
WO2018045102A1 (en) | 2016-08-30 | 2018-03-08 | Nxstage Medical, Inc. | Parameter monitoring in medical treatment systems |
WO2018237375A1 (en) | 2017-06-24 | 2018-12-27 | Nxstage Medical, Inc. | METHODS AND SYSTEMS FOR PREPARING AND / OR PROCESSING PERITONEAL DIALYSIS FLUID |
JP7419234B2 (ja) | 2017-12-15 | 2024-01-22 | ガストロクレンツ インコーポレイテッド | 留置カテーテルベースの処置のためのセンサ監視システム |
US11364328B2 (en) | 2018-02-28 | 2022-06-21 | Nxstage Medical, Inc. | Fluid preparation and treatment devices methods and systems |
US11255844B2 (en) | 2018-03-06 | 2022-02-22 | Fresenius Medical Care Holdings, Inc. | Peritoneal dialysis systems and related methods |
MX2021016013A (es) | 2019-06-26 | 2022-03-11 | Gastroklenz Inc | Sistemas, dispositivos, y metodos para el monitoreo de fluidos. |
USD903126S1 (en) | 2019-06-26 | 2020-11-24 | Gastroklenz Inc. | Monitoring device |
USD984637S1 (en) | 2019-06-26 | 2023-04-25 | Gastroklenz Inc. | Measurement vessel |
US12036344B2 (en) | 2020-11-13 | 2024-07-16 | Fresenius Medical Care Holdings, Inc. | Systems and methods for analyzing spent dialysate |
Family Cites Families (21)
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US3809243A (en) * | 1972-01-26 | 1974-05-07 | Sarns Inc | Turbidity monitor for dialysis machines |
JPS61176358A (ja) * | 1985-01-30 | 1986-08-08 | 株式会社 日本メデイカル・サプライ | 腹膜透析用腹膜炎検知装置 |
JP2793463B2 (ja) * | 1992-04-28 | 1998-09-03 | インターナショナル・ビジネス・マシーンズ・コーポレイション | カラーセツト選択装置及びその方法並びにカラー選択管理方法 |
IT1260638B (it) * | 1993-04-05 | 1996-04-22 | S I F Ra Societa Italiana Farm | Sistema per la preparazione di un fluido da utilizzare in trattamenti medicali |
JP3549262B2 (ja) | 1994-09-29 | 2004-08-04 | テルモ株式会社 | 腹膜透析の排液監視装置 |
US5620658A (en) * | 1995-09-11 | 1997-04-15 | Industrial Test Systems, Inc. | Colorimetric test strip |
US6228047B1 (en) * | 1997-07-28 | 2001-05-08 | 1274515 Ontario Inc. | Method and apparatus for performing peritoneal dialysis |
CA2211848C (en) * | 1997-07-28 | 2002-06-11 | Joseph E. Dadson | Peritoneal dialysis apparatus |
JP3636018B2 (ja) * | 1999-12-28 | 2005-04-06 | 株式会社ジェイ・エム・エス | 医療機器による測定データの遠隔収集装置 |
US6913590B2 (en) * | 2000-09-22 | 2005-07-05 | Sorenson Development, Inc. | Apparatus and method for peritoneal dialysis |
EP1195171B1 (de) * | 2000-10-04 | 2012-08-15 | Terumo Kabushiki Kaisha | Peritonealdialysegerät |
JP2003047657A (ja) | 2001-08-03 | 2003-02-18 | Terumo Corp | 在宅腹膜透析療法支援システム |
US20030216677A1 (en) * | 2002-05-15 | 2003-11-20 | Li Pan | Biosensor for dialysis therapy |
JP4028776B2 (ja) * | 2002-07-15 | 2007-12-26 | 株式会社ジェイ・エム・エス | 医療データ警告通知システム及び方法 |
US7238164B2 (en) * | 2002-07-19 | 2007-07-03 | Baxter International Inc. | Systems, methods and apparatuses for pumping cassette-based therapies |
JP4479323B2 (ja) * | 2003-05-14 | 2010-06-09 | 株式会社ジェイ・エム・エス | 腹膜機能検査方法および腹膜透析プランニング装置 |
JP2005201693A (ja) * | 2004-01-13 | 2005-07-28 | Olympus Corp | 色票処理装置、色票処理方法及び色票処理プログラム |
US8075509B2 (en) | 2005-08-25 | 2011-12-13 | Gambro Lundia Ab | Medical apparatus |
WO2007056587A2 (en) * | 2005-11-09 | 2007-05-18 | The General Hospital Corporation | Predicting diabetic nephropathy (dn) |
US8801652B2 (en) * | 2006-07-27 | 2014-08-12 | Fresenius Medical Care Holding, Inc. | Early stage peritonitis detection apparatus and methods |
US8545425B2 (en) * | 2008-01-18 | 2013-10-01 | Baxter International | Reusable effluent drain container for dialysis and other medical fluid therapies |
-
2008
- 2008-07-04 DE DE102008031660A patent/DE102008031660A1/de not_active Ceased
-
2009
- 2009-06-29 US US12/493,797 patent/US9381289B2/en active Active
- 2009-06-30 CN CN200980125966.5A patent/CN102099065B/zh active Active
- 2009-06-30 EP EP09772145.0A patent/EP2296726B1/de active Active
- 2009-06-30 JP JP2011515230A patent/JP5507554B2/ja active Active
- 2009-06-30 ES ES09772145.0T patent/ES2568797T3/es active Active
- 2009-06-30 WO PCT/EP2009/004720 patent/WO2010000445A1/de active Application Filing
Non-Patent Citations (1)
Title |
---|
See references of WO2010000445A1 * |
Also Published As
Publication number | Publication date |
---|---|
CN102099065B (zh) | 2015-05-27 |
JP5507554B2 (ja) | 2014-05-28 |
ES2568797T3 (es) | 2016-05-04 |
EP2296726B1 (de) | 2016-01-27 |
CN102099065A (zh) | 2011-06-15 |
JP2011526173A (ja) | 2011-10-06 |
US20100005416A1 (en) | 2010-01-07 |
DE102008031660A1 (de) | 2010-01-07 |
WO2010000445A1 (de) | 2010-01-07 |
US9381289B2 (en) | 2016-07-05 |
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